Provider Demographics
NPI:1174311492
Name:LONG, HANNA FRANCES (RDN, LDN)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:FRANCES
Last Name:LONG
Suffix:
Gender:
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 INMAN TER
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-3612
Mailing Address - Country:US
Mailing Address - Phone:267-229-7953
Mailing Address - Fax:
Practice Address - Street 1:414 INMAN TER
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-3612
Practice Address - Country:US
Practice Address - Phone:267-229-7953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA86358277133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered